Displaced bimalleolar fracture of right lower leg, sequela

This code signifies a chronic or late effect of a bimalleolar fracture involving the right lower leg, where the bone fragments were not in their anatomical alignment at the time of the initial injury. It indicates that the patient is experiencing ongoing issues directly attributable to this previously sustained, displaced fracture.

Apply this code when documenting a patient presenting with long-term complications, such as chronic pain, malunion, nonunion, or functional limitations, stemming from a past displaced bimalleolar fracture of the right lower leg. This is appropriate for follow-up visits addressing these persistent sequelae, not for the initial acute injury.

• Always sequence this code after the code for the specific sequela (e.g., M84.071A for malunion of right ankle).
• Ensure documentation clearly links the current condition to the previous displaced bimalleolar fracture.
• Do not use for initial or subsequent encounters for the acute fracture; those require codes from the S82.841_ category without the 'S' seventh character.